It's not sterile because it doesn't need to be yet. The shaved area is cleaned with antiseptic after the hair is removed. The cat does not seem distressed so I would agree that it is anesthetized and being prepped for surgery, albeit without the breathing tube yet (not sure why). You can see the light is brighter on the cat's abdomen as if from a surgical light. I don't know why a kid would be in there, but I don't see anything particularly wrong with the pic. Obviously someone (probably older) was taking the picture so it wasn't like he just wandered in there all alone.
I worked at a small town vet clinic and the surgery suite was just a small white room with a table and looks much like the background in that pic. Occasionally vet techs would bring their kids to work. If they were bored and restless, we'd let them sweep the surgery suite or do other small tasks. Vaccuuming a cat would not be a huge issue as long as there was an adult supervision.








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